Jesse George Sullivan Jr., MD

General Practice Physician · El Reno, OK

Individual Active NPI

NPI number 1285675405

Practice location

2001 Parkview Dr
El Reno, OK 73036-2107
Phone
(405) 262-2114
Fax
(405) 262-2306

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NPI record

NPI
1285675405
Entity type
Individual (Type 1)
Enumeration date
June 9, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 12233 OK

Mailing address

1116 Montreal Dr
Yukon, OK 73099-5349
Phone
(405) 354-9769

About Dr. Sullivan

Jesse George Sullivan Jr., MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 2001 Parkview Dr, El Reno, OK 73036-2107. The NPI number 1285675405 was assigned on June 9, 2006 and the record was last updated on July 13, 2026.

Dr. Sullivan lists a license in the registry: #12233 (OK) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesse George Sullivan Jr., MD?

The NPI number is 1285675405.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (405) 262-2114.

Where is Dr. Sullivan located?

2001 Parkview Dr, El Reno, OK 73036-2107.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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